Pilot study of an adult bowel management program for fecal incontinence
Bowel management programs are efficacious in pediatric patients with fecal incontinence or intractable constipation unresponsive to standard treatment. No studies have been done examining outcomes in adults. The objective of this study was to assess continence and quality of life outcomes in adults...
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| Veröffentlicht in: | Journal of pediatric surgery 2022-08, Vol.57 (8), p.1681-1686 |
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| container_title | Journal of pediatric surgery |
| container_volume | 57 |
| creator | Knaus, Maria E. Beyene, Tariku J. Thomas, Jessica L. Maloof, Elias R. Jimenez, Alberta L. Negri Halaweish, Ihab Wood, Richard J. Gasior, Alessandra C. |
| description | Bowel management programs are efficacious in pediatric patients with fecal incontinence or intractable constipation unresponsive to standard treatment. No studies have been done examining outcomes in adults. The objective of this study was to assess continence and quality of life outcomes in adults who have underwent bowel management program.
A retrospective review of patients 16 or older at the time they underwent a bowel management program for fecal incontinence or constipation was performed. Data collected included intake and follow-up stool and urinary continence, patient-reported outcomes measures (Cleveland Clinic Constipation Score, Baylor Continence Scale, Vancouver Symptom Score for Dysfunctional Elimination), and an age-adjusted health-related quality of life measure.
The cohort included 38 patients with a median age of 19 years (range: 16-55) when they underwent our program. 50% of patients were female and the majority (33, 87%) were White. The most common diagnosis was anorectal malformation (16, 42%) followed by functional constipation (10, 27%). Stool continence rates improved after undergoing the program (52.7% prior to 87.6% at follow-up, p |
| doi_str_mv | 10.1016/j.jpedsurg.2022.04.011 |
| format | Article |
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A retrospective review of patients 16 or older at the time they underwent a bowel management program for fecal incontinence or constipation was performed. Data collected included intake and follow-up stool and urinary continence, patient-reported outcomes measures (Cleveland Clinic Constipation Score, Baylor Continence Scale, Vancouver Symptom Score for Dysfunctional Elimination), and an age-adjusted health-related quality of life measure.
The cohort included 38 patients with a median age of 19 years (range: 16-55) when they underwent our program. 50% of patients were female and the majority (33, 87%) were White. The most common diagnosis was anorectal malformation (16, 42%) followed by functional constipation (10, 27%). Stool continence rates improved after undergoing the program (52.7% prior to 87.6% at follow-up, p<0.01). There was significant improvement in the Baylor Continence Scale, Cleveland Clinic Constipation Score, and PedsQL (p<0.05).
Adult patients who underwent a bowel management program for severe fecal incontinence or constipation show significant improvement in stool continence rates, patient-reported outcomes measures, and quality of life. A bowel management program (in-person or via telemedicine) is a feasible treatment strategy for adult patients who fail standard management of fecal incontinence or constipation and should be offered when appropriate.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2022.04.011</identifier><identifier>PMID: 35570011</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Antegrade continence enema ; Constipation ; Quality of life</subject><ispartof>Journal of pediatric surgery, 2022-08, Vol.57 (8), p.1681-1686</ispartof><rights>2022</rights><rights>Copyright © 2022. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c298t-c9226cfc9565bb9e544e702fc5029877a2c327ff9265237fbb63e126373500523</citedby><cites>FETCH-LOGICAL-c298t-c9226cfc9565bb9e544e702fc5029877a2c327ff9265237fbb63e126373500523</cites><orcidid>0000-0002-4751-8304</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpedsurg.2022.04.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35570011$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Knaus, Maria E.</creatorcontrib><creatorcontrib>Beyene, Tariku J.</creatorcontrib><creatorcontrib>Thomas, Jessica L.</creatorcontrib><creatorcontrib>Maloof, Elias R.</creatorcontrib><creatorcontrib>Jimenez, Alberta L. Negri</creatorcontrib><creatorcontrib>Halaweish, Ihab</creatorcontrib><creatorcontrib>Wood, Richard J.</creatorcontrib><creatorcontrib>Gasior, Alessandra C.</creatorcontrib><title>Pilot study of an adult bowel management program for fecal incontinence</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Bowel management programs are efficacious in pediatric patients with fecal incontinence or intractable constipation unresponsive to standard treatment. No studies have been done examining outcomes in adults. The objective of this study was to assess continence and quality of life outcomes in adults who have underwent bowel management program.
A retrospective review of patients 16 or older at the time they underwent a bowel management program for fecal incontinence or constipation was performed. Data collected included intake and follow-up stool and urinary continence, patient-reported outcomes measures (Cleveland Clinic Constipation Score, Baylor Continence Scale, Vancouver Symptom Score for Dysfunctional Elimination), and an age-adjusted health-related quality of life measure.
The cohort included 38 patients with a median age of 19 years (range: 16-55) when they underwent our program. 50% of patients were female and the majority (33, 87%) were White. The most common diagnosis was anorectal malformation (16, 42%) followed by functional constipation (10, 27%). Stool continence rates improved after undergoing the program (52.7% prior to 87.6% at follow-up, p<0.01). There was significant improvement in the Baylor Continence Scale, Cleveland Clinic Constipation Score, and PedsQL (p<0.05).
Adult patients who underwent a bowel management program for severe fecal incontinence or constipation show significant improvement in stool continence rates, patient-reported outcomes measures, and quality of life. A bowel management program (in-person or via telemedicine) is a feasible treatment strategy for adult patients who fail standard management of fecal incontinence or constipation and should be offered when appropriate.</description><subject>Antegrade continence enema</subject><subject>Constipation</subject><subject>Quality of life</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNqFkD1v2zAQQImiQeM6-QsGxy5Sj6RIWlsLo0kKBGiGZCYo6mjQkESXlFrk34eGna6dDrh79_UI2TCoGTD19VAfjtjnJe1rDpzX0NTA2AeyYlKwSoLQH8kKSqUSjdpek885HwBKGtgnci2k1FD4Fbl_CkOcaZ6X_pVGT-1Ebb8MM-3iXxzoaCe7xxGnmR5T3Cc7Uh8T9ejsQMPk4jSHCSeHN-TK2yHj7SWuycvdj-fdQ_X46_7n7vtj5Xi7nSvXcq6cd61UsutalE2DGrh3Ekpda8ud4Nr7livJhfZdpwQyroQWEqCk1uTLeW455_eCeTZjyA6HwU4Yl2y4UpKBZnJbUHVGXYo5J_TmmMJo06thYE4SzcG8SzQniQYaU6SUxs1lx9KN2P9re7dWgG9nAMunfwImk104WehDQjebPob_7XgDYyyFPw</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Knaus, Maria E.</creator><creator>Beyene, Tariku J.</creator><creator>Thomas, Jessica L.</creator><creator>Maloof, Elias R.</creator><creator>Jimenez, Alberta L. Negri</creator><creator>Halaweish, Ihab</creator><creator>Wood, Richard J.</creator><creator>Gasior, Alessandra C.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4751-8304</orcidid></search><sort><creationdate>20220801</creationdate><title>Pilot study of an adult bowel management program for fecal incontinence</title><author>Knaus, Maria E. ; Beyene, Tariku J. ; Thomas, Jessica L. ; Maloof, Elias R. ; Jimenez, Alberta L. Negri ; Halaweish, Ihab ; Wood, Richard J. ; Gasior, Alessandra C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c298t-c9226cfc9565bb9e544e702fc5029877a2c327ff9265237fbb63e126373500523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Antegrade continence enema</topic><topic>Constipation</topic><topic>Quality of life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Knaus, Maria E.</creatorcontrib><creatorcontrib>Beyene, Tariku J.</creatorcontrib><creatorcontrib>Thomas, Jessica L.</creatorcontrib><creatorcontrib>Maloof, Elias R.</creatorcontrib><creatorcontrib>Jimenez, Alberta L. Negri</creatorcontrib><creatorcontrib>Halaweish, Ihab</creatorcontrib><creatorcontrib>Wood, Richard J.</creatorcontrib><creatorcontrib>Gasior, Alessandra C.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knaus, Maria E.</au><au>Beyene, Tariku J.</au><au>Thomas, Jessica L.</au><au>Maloof, Elias R.</au><au>Jimenez, Alberta L. Negri</au><au>Halaweish, Ihab</au><au>Wood, Richard J.</au><au>Gasior, Alessandra C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pilot study of an adult bowel management program for fecal incontinence</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>57</volume><issue>8</issue><spage>1681</spage><epage>1686</epage><pages>1681-1686</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Bowel management programs are efficacious in pediatric patients with fecal incontinence or intractable constipation unresponsive to standard treatment. No studies have been done examining outcomes in adults. The objective of this study was to assess continence and quality of life outcomes in adults who have underwent bowel management program.
A retrospective review of patients 16 or older at the time they underwent a bowel management program for fecal incontinence or constipation was performed. Data collected included intake and follow-up stool and urinary continence, patient-reported outcomes measures (Cleveland Clinic Constipation Score, Baylor Continence Scale, Vancouver Symptom Score for Dysfunctional Elimination), and an age-adjusted health-related quality of life measure.
The cohort included 38 patients with a median age of 19 years (range: 16-55) when they underwent our program. 50% of patients were female and the majority (33, 87%) were White. The most common diagnosis was anorectal malformation (16, 42%) followed by functional constipation (10, 27%). Stool continence rates improved after undergoing the program (52.7% prior to 87.6% at follow-up, p<0.01). There was significant improvement in the Baylor Continence Scale, Cleveland Clinic Constipation Score, and PedsQL (p<0.05).
Adult patients who underwent a bowel management program for severe fecal incontinence or constipation show significant improvement in stool continence rates, patient-reported outcomes measures, and quality of life. A bowel management program (in-person or via telemedicine) is a feasible treatment strategy for adult patients who fail standard management of fecal incontinence or constipation and should be offered when appropriate.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>35570011</pmid><doi>10.1016/j.jpedsurg.2022.04.011</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4751-8304</orcidid></addata></record> |
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| identifier | ISSN: 0022-3468 |
| ispartof | Journal of pediatric surgery, 2022-08, Vol.57 (8), p.1681-1686 |
| issn | 0022-3468 1531-5037 |
| language | eng |
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| source | ScienceDirect Journals (5 years ago - present) |
| subjects | Antegrade continence enema Constipation Quality of life |
| title | Pilot study of an adult bowel management program for fecal incontinence |
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